剖宫产术后患者加速康复体位管理方案的构建
Construction of an accelerated recovery position management plan for patients after cesarean section
谭美 1阳秀春2
作者信息
- 1. 湖南师范大学附属第一医院,长沙 410005;湖南妇女儿童医院,长沙 410023
- 2. 湖南师范大学附属第一医院,长沙 410005
- 折叠
摘要
目的:构建剖宫产术后患者加速康复(accelerated rehabilitation surgery,ERAS)体位管理方案.方法:研究小组基于加速康复外科理念进行科学的文献筛选、文献评价及汇总,拟定剖宫产术后患者加速康复体位管理方案,通过专家会议对方案进行科学的论证,修正定稿.结果:剖宫产术后患者加速康复体位管理方案共包括7个体位管理目标、7个体位管理时机和36条体位管理内容.专家会议问卷有效回收率为100%,专家权威系数(Cr)为0.94,Kendall协调系数为0.24(χ2=26.10,P<0.05).结论:本研究构建的剖宫产术后患者加速康复体位管理方案咨询结果可靠,专家权威系数较高,专家意见趋于一致,可为临床护士在促进剖宫产术后患者早期离床活动、减少相关并发症等方面提供参考依据,推进ERAS在产科的应用.
Abstract
Objective To construct a postoperative patient position management plan for cesarean section based on Accel-erated Rehabilitation Surgery(ERAS).Methods According to the concept of accelerated rehabilitation surgery and clinical ex-perience,the study group scientifically screened the literature,extracted and collected the evidence,and drew up the first draft of the postoperation Posture Management Plan for cesarean section patients.Through the expert meeting,verify the scientific nature of the proposal and revise the final draft.Results A total of 11 articles were screened out,24 best evidences were ex-tracted,and the postural management program was established by expert meeting,including 7 Management Timing,7 manage-ment goals and 36 management content.The effective recovery rate of the expert meeting questionnaire was 100%,the expert authority coefficient(CR)was 0.94,and the Kendall coordination coefficient was 0.24(χ2=26.10,P<0.05).Conclusion The management plan of accelerating recovery posture for patients after cesarean section is reliable,the expert authority coefficient is high,the expert opinion tends to be consistent,and the contentis scientific and practical,it can provide reference for clinical nurses to guide patients'early activities after cesarean section,and promote the application of ERAS in obstetrics.
关键词
加速康复外科/剖宫产患者/术后体位管理/方案构建Key words
accelerated rehabilitation surgery/cesarean section/postoperative position management/scheme for developing引用本文复制引用
出版年
2024
NETL
NSTL
万方数据